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Contact Information

SHADE R WHALEN, MD
2115 N KANSAS
CHILDREN & ADOLESCENT CLINIC PC
HASTINGS, NE68901
 Phone: 402-463-6828
 Fax: 402-463-4767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SHADE R WHALEN · (Male)

NPI Number 1013929876
Status Active
Credentials MD
Entity Individual
Enumeration date 08/12/2006
Last updated 01/19/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 23753
  • NE Medicaid 47063717813
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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